Ft Yuma Indian Health Center - Dental
LBN: Dhhs Phs Ihs Phoenix Area
Ft Yuma Indian Health Center - Dental is an health care organization with primary practice located at 401 Picacho Road , Winterhaven CA 92283. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Dental Hygienist. Dental Providers / Dentist is the primary health care specialty.
Dhhs Phs Ihs Phoenix Area can be contacted via phone (760) 572-4100, or through Baldwin, Cindy S via phone (760) 572-4100.
Contact Information
Primary practice address
401 Picacho Road
Winterhaven CA 92283
Phone: (760) 572-4100
Fax: (760) 572-2133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Periodontics | 1223P0300X | ||
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1649432121 |
|---|---|
| LBN Legal business name | Dhhs Phs Ihs Phoenix Area |
| DBA Doing business as | Ft Yuma Indian Health Center - Dental |
| Authorized official | Baldwin, Cindy S |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 26th, 2008 |
| Last updated | Apr 20th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649432121 | NPPES |
| Arizona | MEDICAID | 020211 | |
| Arizona | Other | P0201800 | |
| Arizona | Other | HSZ078 | |
| Arizona | MEDICAID | 092370 |
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